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-z- <br />6. Correspondence Information: <br />APPLICANI'lOPERATOR (name, address, and phone of name to be used on permit) <br />Contact's Namr. Mike Bennett Title: Owner <br />Company Name: <br /> <br />Street•P.O. Box: 39533 Co. Rd. 18 P.O. Box: <br />City: Nol~oke <br />Smte: CO Zip Code: 80734 <br />Telephone Number: (g70 )- RStt-9'~R1 <br /> <br />Fax Ntunber. ( )- <br />PERMITT{NGOONTACT (if different from applicanUoperator above) <br />Conmct'sName: $3ndy. Schafer Title: Consultant <br />Company Name: ~ <br />StreeuP.O. Box: 40586 Co. Rd. 21 P.O. Box: <br />City: Haxtirn <br />State: CO zip Code; 80731 <br />Telephone Number. ( 970 1- 854-3778 (workl 470-774-6264 (Home) <br />Fax Number: ( 970 )- 854-3811 <br />iNSPF,CTION CONTACT <br />Contact's Name: M;ke Rennerr Tile: Owner <br />Company Name: <br /> <br />StreeUP.O. Box: 99533 Co. Rd. 18 P.O. Box: <br />Ciry: Hnl~+nke <br /> <br />state: rn Zip Code: 80734 <br />Telephone Number: ( ,~70 1 - ~G_23R1 <br /> <br />Fax Number: ( _j - <br />CC: STATE OR FEDERAL LANDOWNER (if any <br />Agency: __^ <br /> <br />Street: <br />City: <br />___ <br />State: 7..ip Code: _ <br />Telephone Number: ( ~ - <br /> <br />GC: STATE OR FEDERAL LANDOIk'NER (if anyl <br />Agency: <br /> <br />Street: <br />City: _ <br />___ <br />State: __ %ip Code: __ <br />Telephone Number: I ) -- -------------- --_----___------_.- <br />